ABSTRACT
Anomalous origin of the left coronary artery from the opposite sinus of Valsalva with an intramural aortic course is a rare congenital anomaly with a poor prognosis. We report the case of a 14-year-old soccer player who briefly lost consciousness while sprinting. He had exertional chest pain, syncope, ischemic changes on his electrocardiogram, and elevated cardiac troponin levels. Computed tomographic angiograms showed an anomalous origin of the left coronary artery from the right sinus of Valsalva and a course through the aortic wall toward the left coronary sinus. A surgically created neo-ostium in the left coronary sinus relieved the patient's ischemia, and he resumed playing soccer after cardiac rehabilitation.
Subject(s)
Athletes , Coronary Vessels/diagnostic imaging , Electrocardiography , Sinus of Valsalva/abnormalities , Adolescent , Cardiac Surgical Procedures/methods , Coronary Angiography , Coronary Vessel Anomalies , Coronary Vessels/surgery , Humans , Male , Sinus of Valsalva/diagnostic imaging , Sinus of Valsalva/surgery , Tomography, X-Ray ComputedABSTRACT
PURPOSE: To describe the computed tomography and ultrasound findings of five cases of small bowel diverticulitis with localized perforation. MATERIAL AND METHODS: Our database, from April 2003 to August 2007, was reviewed and five cases of small bowel diverticulitis were identified. RESULTS: Jejuno-ileal diverticulitis with covered perforation usually presents as wall thickening of a small bowel loop and an adjacent inflammatory mass containing air bubbles. CONCLUSION: Small bowel diverticula are rare and mostly asymptomatic. They become clinically relevant when complications arise, such as diverticulitis. The symptoms of jejuno-ileal diverticulitis are non-specific and the diagnosis is performed mainly by imaging studies.
